Oncare Hospice Ia LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ONCARE HOSPICE IA LLC

Practice address

4802 Council Pointe Rd Ste 400
Council Bluffs, IA 51501-8632

Phone

(402) 403-4330

Fax

(402) 403-5854

NPI assigned

Sep 9, 2024

Last updated

Jan 2, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Taylor Jackson, LCSW

Title

Director of Quality and Compliance

Phone

(402) 403-4330

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669208567. Details of each certification follow.

• CCN 161622 Hospice · Active · Details

Hospice certification: CCN 161622

Legal name

ONCARE HOSPICE IA LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 10, 2026

Last certification

Mar 10, 2026

Organization structure

LLCProprietary

Incorporated

Jul 23, 2024 in IA

Enrollment address

4802 Council Pointe Rd
Ste 400
Council Bluffs, IA 51501-8632

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Erin Dahlke, D.O.

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1134488554

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Heritage Oncare Home Health LLC

  • Home Health Agency
  • Omaha, NE
  • NPI 1780196451

  Oncare Health LLC

  CMS ownership
• Oncare Hospice LLC

  • Community Based Hospice Care Agency
  • Omaha, NE
  • NPI 1326610478

  Oncare Health LLC

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Courtney Higgins

  • Nurse Practitioner
  • Omaha, NE
  • NPI 1003567181
  NPD
• Kate Patricia Horn, APRN-NP

  • Gerontology Nurse Practitioner
  • Omaha, NE
  • NPI 1003576406
  NPD
• Lisa J Lehr, APRN

  • Family Nurse Practitioner
  • Omaha, NE
  • NPI 1508465048
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1669208567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16934 FRANCES ST STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302397",
            "telephone_number": "402-403-4330",
            "fax_number": "402-403-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 COUNCIL POINTE RD STE 400",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515018632",
            "telephone_number": "402-403-4330",
            "fax_number": "402-403-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCARE HOSPICE IA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "DIRECTOR OF QUALITY AND COMPLIANCE",
        "authorized_official_telephone_number": "402-403-4330",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Omar
• Omni Council Bluffs Dental PLLC
• Omni Dental Centres, LLP
• Omni Dental Centres, LLP
• On the Go HME, Inc. (On The Go Home Medical Equipment & Supplies)
• Alfred Nyabwari Ongesa, PMHNP-NP
• Open Arms Home Health Care - Council Bluffs, LLC
• Optimal T CB LLC
• Options Community Counseling
• Ivy Orellana

• Community Based Hospice Care Agency in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Community Based Hospice Care Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.